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Orthodontists like Dr. Daniel Very recommend a first orthodontic visit and evaluation for your child around the age of seven. We will evaluate your child’s jaw and facial development and make sure that there is enough room in the mouth for the permanent teeth when they arrive. One of the recommendations we might make for early treatment is the use of a palatal expander. If you are unfamiliar with this device, let’s take a closer look at why it’s necessary and what exactly it does.

Why do we recommend the palatal expander?

There are two dental arches, composed of the upper and the lower teeth, in your child’s mouth. This arch-shaped design is meant to accommodate all the permanent teeth. Further, when the upper and lower teeth meet, they should result in a healthy occlusion, or bite.

Sometimes, the upper dental arch is simply too small to accommodate all of your child’s permanent teeth, leading to crowding, extractions, and impacted teeth. Also, a too-narrow arch can result in a crossbite, where some of the upper teeth bite inside the lower ones. An improper bite can lead to problems such as TMJ (temporomandibular joint) disorder, improper wear and stress on teeth, certain speech difficulties, and other potential complications. The palatal expander was designed to prevent these problems from occurring.

What is a palatal expander and how does it work?

The expander itself is a device that increases the size of the upper dental arch. Before your child’s bones are finished growing, the space between the two bones of the upper palate is filled with cartilage. This tissue is flexible when children are young, but gradually fuses solidly into place by the time they are finished growing (usually in the early to mid-teens). If the arch can be widened to accommodate the emerging permanent teeth, or to reduce malocclusions, this improvement can also affect the need for, and length of, future dental work.

There are several types of expanders available at our Boardman or Niles office. These are custom-made appliances, commonly attached between the upper teeth on each side of the jaw. The two halves of the device are connected with a screw-type mechanism that can be adjusted to widen the upper palate and dental arch with gentle pressure. This is a gradual process, with small adjustments usually made once or twice a day to slowly move the bones further apart. As weeks go by, you will notice a successful change in the spacing of the teeth. Your child might even develop a gap in the front teeth, which is normal and will generally close on its own.

If you would like more detailed information, talk to Dr. Daniel Very about the palate expander. We can tell you what to expect from this treatment if we think it is best for your child’s unique needs, and how to make it as easy as possible for your child. Our goal is to provide your child with the healthiest teeth and bite possible, always making use of treatments that are both gentle and effective.

If you are wearing braces and are planning a vacation, our team at Very Orthodontics would suggest that you be prepared. We put together a list of items that will be handy to have with you at all times while you are out of town. They include:

• Toothpick, flosspick, or other interdental cleaners
• Travel toothbrush
• A water bottle or a mini bottle of mouth rinse
• Orthodontic wax to help with discomfort from protruding wires
• A small mirror for examining any possible issues in your mouth

Putting these items together in a “braces/oral hygiene kit” may be wise. You may even buy pre-made braces kits. Please ask us for more information.

If you happen to be on vacation and experience problems reaching our office, we suggest going online and searching for orthodontic practices in your area. Most orthodontists will lend a helping hand to another orthodontic patient and get him or her out of pain or discomfort.

We also suggest avoiding the following foods to prevent broken brackets and/or wire distortion while you are on vacation:

• Chewy, sticky, or gummy food
• Apples, pears, and other whole fruits (cut fruit into wedges before consuming)
• Bagels and hard rolls
• Corn on the cob
• Hard candies
• Hard cookies or pretzels
• All varieties of nuts, including peanuts, almonds, and cashews

Finally, if you are wearing clear aligners and happen to lose your tray, don’t worry! Simply put in either the previous tray or the next tray and contact us as soon as you get home!

Follow these tips and you can have a worry-free vacation! Please give us a call if you have any questions!

As you near the end of your orthodontic treatment, you’re probably already imagining the day when your brackets and wires finally come off. Or the moment you’ve finished with your last set of aligners. That day might come just a bit sooner if Dr. Daniel Very and our team recommend a positioner.

While not as well-known as other orthodontic treatments, a positioner is an appliance that can shorten your time in traditional braces and aligners by weeks or even months. Curious? Read on!

• What Exactly Is a Positioner?

A positioner resembles a clear mouthguard. Its arched shape is designed to fit snugly over your teeth. It’s sometimes called a finishing appliance, because it’s designed to make those last small adjustments to your alignment and bite. If you’re a good candidate for a positioner, it can replace your braces or aligners for your last several weeks or months of treatment.

• How Are Positioners Made?

This appliance is custom fabricated to fit your very specific orthodontic needs. Commonly, a mold is made of your teeth. A model of your teeth is made from this mold. Precision instruments are used to move the model teeth into your ideal alignment.

Once this model of your future finished smile is complete, it is used to create the positioner. When the thermoplastic material is molded to the model, it creates an appliance with an indentation for each individual tooth in its desired final location.

Available in a variety of materials, a positioner is most often designed as a clear single piece, covering both your upper and lower teeth. This makes sure that your teeth are not only aligned properly, but that your upper and lower teeth are working together for a healthy bite. Openings in the positioner provide airways which allow you to breathe easily.

• How Do Positioners Work?

Because your teeth haven’t settled firmly into place yet (this will happen as you wear your retainer), they’re still able to move. That’s why your positioner is shaped to fit your teeth in their future ideal placement, not where they are at present.

Positioners require your active participation. Your teeth move to the ideal spots molded into the positioner through “exercise”—biting down on your appliance for 15-20 seconds before relaxing your bite, usually every 10-15 minutes during your daily wear. The gentle force provided by your jaw muscles helps guide your teeth into position more quickly. Dr. Daniel Very will give you instructions on just how to—and how often to—do these exercises.

• How Long Are They Worn?

Positioners are commonly worn at least four hours a day to start with and all night long, or Dr. Daniel Very might recommend 24 hour a day wear for the first week. As you progress, you’ll wear them for shorter periods during the day, gradually tapering off until your treatment is complete.

Depending on the amount of correction that’s still needed, positioner use ranges from several weeks to several months. One thing that will ensure that your time in a positioner is as short as it can be is your willingness to follow our instructions. The speed and effectiveness of your final tooth movements is largely up to you!

• Caring for a Positioner

Gentle treatment is best. Clean your positioner before and after wearing it using a toothbrush and mild toothpaste. Never boil it or expose it to heat. We will give you instructions for how to clean it more thoroughly, if needed.

Like retainers, clear aligners, and mouthguards, a positioner needs to be protected when it’s not in your mouth. Your positioner will come with a case, so be sure to use it!

Positioners aren’t recommended for every orthodontic patient. But if you feel this might be an option worth pursuing, talk to us when you visit our Boardman or Niles office. A positioner could be an effective, time-saving step on your path to a lifetime of healthy smiles.

In recent years, many links have been established between orthodontic treatments and whole body health. According to the National Institute of Dental and Craniofacial Research, researchers have observed that people with gum disease are more likely to develop heart disease or experience difficulty controlling blood sugar than people without gum disease. While researchers continue to find associations between oral health and the overall health of the body, as of yet it hasn’t been determined whether gum disease is the sole cause of these health conditions. What can be determined, however, is that good oral health isn't just about maintaining a healthy smile; it has an impact on the health of your entire body.

The associations between gum disease and whole body health

The links between the health of your mouth and the health of your body are too many to ignore. Is it a coincidence that gum disease and other health problems occur together? Researchers don’t think so, despite the lack of definitive proof.

Here are four possible connections between the health of your mouth and the health of your body.

• Excessive oral inflammation has been linked to a greater incidence of clogged arteries.
• The American Society of Microbiology has revealed that certain types of oral bacteria can infect the arterial cells and weaken the wall of the heart.
• Loose teeth are often believed to be a warning sign for osteoporosis, a disease that causes the bones to become less dense.
• Some studies suggest women with gum disease are more likely than those without gum disease to deliver preterm, low-weight babies.

Orthodontics and gum disease

So what does undergoing orthodontic treatment at Very Orthodontics have to do with gum disease? Braces do so much more than give you a nice-looking smile. Quite simply, straight teeth are easier to keep clean than crooked teeth. Your toothbrush is able to remove more plaque-causing bacteria, and your floss is more effective at ridding tiny particles between your teeth.

Despite the lack of hard facts in these findings, the message is clear: If you improve your oral health, you will also have a greater chance of maintaining the health of your entire body. And that’s a chance Dr. Daniel Very and our team at Very Orthodontics believe is worth taking. For more information about this topic, please give us a call at our convenient Boardman or Niles office or ask Dr. Daniel Very during your next visit!